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PARP 抑制剂联合免疫检查点抑制剂在卵巢癌中的应用。

Application of PARP inhibitors combined with immune checkpoint inhibitors in ovarian cancer.

机构信息

Department of Basic Medical Sciences, School of Medicine, Hunan Normal University, Changsha, China.

Hunan Gynecological Tumor Clinical Research Center; Hunan Key Laboratory of Cancer Metabolism; Hunan Cancer Hospital, and the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China.

出版信息

J Transl Med. 2024 Aug 21;22(1):778. doi: 10.1186/s12967-024-05583-z.

DOI:10.1186/s12967-024-05583-z
PMID:39169400
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11337781/
Abstract

The advent of polyadenosine diphosphate ribose polymerase inhibitors (PARPi) has brought about significant changes in the field of ovarian cancer treatment. However, in 2022, Rucaparib, Olaparib, and Niraparib, had their marketing approval revoked for third-line and subsequent therapies due to an increased potential for adverse events. Consequently, the exploration of new treatment modalities remains imperative. Recently, the integration of PARPi with immune checkpoint inhibitors (ICIs) has emerged as a potential remedy option within the context of ovarian cancer. This article offers a comprehensive examination of the mechanisms and applications of PARPi and ICIs in the treatment of ovarian cancer. It synthesizes the existing evidence supporting their combined use and discusses key considerations that merit attention in ongoing development efforts.

摘要

聚腺苷二磷酸核糖聚合酶抑制剂(PARPi)的出现给卵巢癌治疗领域带来了重大变化。然而,2022 年,由于不良反应风险增加,鲁卡帕尼、奥拉帕利和尼拉帕利的三线及后续治疗的药物上市许可被撤销。因此,探索新的治疗方法仍然至关重要。最近,PARPi 与免疫检查点抑制剂(ICIs)的联合应用在卵巢癌治疗中成为一种潜在的治疗选择。本文全面研究了 PARPi 和 ICIs 在卵巢癌治疗中的作用机制和应用,综合了支持联合应用的现有证据,并讨论了在当前开发工作中值得关注的关键问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2ed/11337781/16eb9795f512/12967_2024_5583_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2ed/11337781/ec78e422e7b6/12967_2024_5583_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2ed/11337781/c47483cc63b9/12967_2024_5583_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2ed/11337781/16eb9795f512/12967_2024_5583_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2ed/11337781/ec78e422e7b6/12967_2024_5583_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2ed/11337781/c47483cc63b9/12967_2024_5583_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2ed/11337781/16eb9795f512/12967_2024_5583_Fig3_HTML.jpg

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Clin Cancer Res. 2024 Jan 5;30(1):50-62. doi: 10.1158/1078-0432.CCR-23-2249.
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Niraparib and dostarlimab for the treatment of recurrent platinum-resistant ovarian cancer: results of a Phase II study (MOONSTONE/GOG-3032).尼拉帕利联合度伐利尤单抗治疗铂耐药复发性卵巢癌的 II 期研究(MOONSTONE/GOG-3032)结果。
Gynecol Oncol. 2023 Nov;178:161-169. doi: 10.1016/j.ygyno.2023.10.005. Epub 2023 Oct 25.
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聚(ADP-核糖)聚合酶抑制剂在三阴性乳腺癌中的新型临床潜力:机制洞察与临床应用(综述)
Oncol Lett. 2025 Mar 4;29(5):215. doi: 10.3892/ol.2025.14961. eCollection 2025 May.
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The Landscape of PARP Inhibitors in Solid Cancers.实体癌中PARP抑制剂的研究概况
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Safety of PARP inhibitors as maintenance therapy in ovarian cancer.
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